Abstract
The aging of the Spanish population has led to an increasingly greater number of hip fractures attended by the Spanish Healthcare System in the last years. Those patients, due to their fragility, need special professional attention and consequently, Orthogeriatric Units (UOG) have achieved the highest benefits.The main purpose of this research project is to evaluate the principle variables associated to the elderly affected of hip fracture staying in a new Orthogeriatric Unit created at the Hospital Nuestra Señora de Candelaria in Tenerife, Spain. A descriptive study of the elderly patients diagnosed of hip fracture staying in a conventional Orthopedic Ward was conducted, focusing specifically in those who were transferred to the UOG. The main items to describe were: total time of in-hospital staying, type of hip fracture and the kind of surgery selected, physiotherapist sessions in the conventional Orthopedic Ward, in the UOG and in Home Hospitalization Unit (HADO) as well as the total number of patients that needed to continue ambulatory physiotherapist sessions. As a conclusion, early start of physiotherapist sessions inside the hospital, completed in the UOG and/or in HADO, along with counseling and professional assessment to families and patients, reduced a very high percentage of their need for ambulatory ongoing rehabilitation.
Highlights
La fractura de cadera es una de las causas principales de morbilidad y mortalidad en personas mayores, lo que significa una gran repercusión en la sociedad
demostrado reducir en un porcentaje muy elevado la necesidad de continuar la rehabilitación ambulatoria
Implantación de una Unidad de Ortogeriatría en hospital de tercer orden entrenamiento y formación al paciente y a sus familiares, las movilizaciones adecuadas, el alivio del dolor y las posturas correctas en la cama, en sedestación y en el inicio de la deambulación con apoyo, de andadora o de muletas ha permitido que cuando el paciente se ha ido de alta y tras la revisión del médico rehabilitador y la valoración de su estado funcional, no ha sido necesario continuar el tratamiento de fisioterapia ambulatoria, pues han conseguido, en su mayoría, una independencia suficiente para adaptarse a su entorno, su vida familiar y a su comunidad de forma adecuada
Summary
La fractura de cadera es una de las causas principales de morbilidad y mortalidad en personas mayores, lo que significa una gran repercusión en la sociedad.
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